Mark J Micciche is a Scranton, Pennsylvania based male podiatrist with 33 years of experience in Podiatry. He completed his graduation from Temple University School Of Podiatric Medicine in 1991. He is also affiliated with hospitals like Geisinger-community Medical Center and Geisinger Wyoming Valley Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark J Micciche for Podiatry is SC-003638-L in Pennsylvania. Mark J Micciche is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mark J Micciche speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1759353618
Enrollment ID:
I20040811000159
NPI Number:
1336195031
NPI Enumeration Date:
25 May, 2006
NPI Last Update On:
21 Aug, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark J Micciche are as mentioned below.
License Number
Specialization
State
Status
SC-003638-L
Podiatry
Pennsylvania
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Geisinger-community Medical Center (390001)
Scranton, PA
Acute Care Hospital
Geisinger Wyoming Valley Medical Center (390270)
Wilkes barre, PA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mark J Micciche is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Geisinger Clinic (5395657001)
2796
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark J Micciche such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0015256920005
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
100 N Academy Ave, Danville, Pennsylvania
Zip:
17822-4903
Phone Number:
570-271-6144
Fax Number:
570-271-6578
Patients can reach Mark J Micciche at 1800 Mulberry St, Scranton, Pennsylvania or can call to book an appointment on 570-703-8146. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.